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Report of the Tanzania Joint Annual Health Sector Review

Joint Annual Health Sector Review, (J.) (2004) Report of the Tanzania Joint Annual Health Sector Review. Technical Report. UNSPECIFIED. (Unpublished)

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Abstract

The fifth annual joint health sector review took place 15-17 March, hosted by the Golden Tulip Hotel. It had been preceded by extensive preparatory work. The “Technical Review” provided an update of progress at district level against the recommendations agreed last year. This, and other documentation to be tabled at the main review were debated in detail at a “pre-meeting” of government and stakeholder representatives held at the Belinda Hotel in late February. Documents tabled for the meeting and presentations are listed at Annex 1. Copies are obtainable from the Health Sector Reform Secretariat, MOH. The main review was very well attended, including senior representatives of various ministries and departments. In a welcome development from previous years, health sector representatives from Regional and District levels also participated. The meeting was characterized by open and lively discussion and debate – a sign that the constructive development relationship with partners continues to mature. The list of participants is reproduced at Annex 5. This report provides a brief record of the proceedings. The timetable for the Review is attached at Annex 2. The first sessions were devoted to reviewing performance over the previous year, with reference to the milestones, the technical review report, achievements and innovations of selected districts, and the health sector performance profile. The general picture which emerges is one of steady progress against objectives. However, owing to the gaps and delays in routine data, this progress has not yet been verified in objective measures of service delivery improvement. Subsequent sessions dealt with priority programmes in more depth, including HIV, malaria, TB, EPI, reproductive health, IMCI and nutrition. In all areas significant challenges remain, in spite of progress to date. In every case there are resource gaps of varying magnitude which will need to be filled if successful scaling up and health impact are to be achieved. Human Resources for Health provided a major focus for presentations and discussions on the second day. This was enriched by perspectives from the President’s Office - Office of Public Service Management (PO-OPSM) and from the President’s Office, Regional Administration and Local Government (PORALG). A clear consensus emerged that the human resource situation is in crisis. The gap between current staffing requirements and actual staffing stands at 33%. This average masks even more serious gaps in under-served areas of the country and for specific cadres. Attrition of health workers out-strips new recruitment. The health workforce is aging. Production of skilled manpower is not matched with future staffing needs. Recruitment procedures present practical obstacles to filling even those posts for which permits have been issued. Positions in hardship areas are particularly difficult to fill and additional incentives will be needed. The data which substantiates the present crisis, the worsening trend and the future requirements, is already available. The meeting agreed that urgent action and high level collaboration between the relevant parts of government would be needed to address the situation.

Item Type: Report (Technical Report)
Keywords: Health sector review, Technical review, HIV/AIDS, Malaria, Tuberclosis
Subjects: Health Systems > Surveillance, monitoring & evaluation
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 06 Dec 2012 07:22
Last Modified: 06 Dec 2012 07:22
URI: http://ihi.eprints.org/id/eprint/626

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